Reconstruction of an upper lip vermilion defect with a mucosal V-Y advancement flap: a case report.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Gyu-Jo Shim, Hyun-Woo Yoon, Dohyoung Kim, Tae-Geon Kwon
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引用次数: 0

Abstract

The upper lip is a functionally and aesthetically important area of the face. Therefore, reconstruction of an upper lip defect needs sufficient consideration to ensure functional and aesthetic recovery. Several methods, such as wedge resection, rotation flaps, advancement flaps, and myomucosal advancement flaps, have been used to reconstruct vermilion defects. However, it is challenging to reconstruct a vermilion defect because of the possibility of residual asymmetry or scars and restrictions to normal lip movement after the reconstruction. We present the case of a 51-year-old female that had an upper lip vermilion defect caused by a dog bite. The lip defect was reconstructed using a mucosal V-Y advancement flap. This mucosal flap was based on the orbicularis oris muscle with a branch of the superior labial artery to ensure sufficient blood supply. Therefore, flap survival was excellent, and there was no constriction of the flaps. Moreover, the color and contour were matched to the adjacent lip tissue, and re-establishment of the white roll and adequate lip volume were achieved. This mucosal V-Y advancement flap technique represents a reliable method to repair mucosal defects without vascular compromise of the flap.

用粘膜 V-Y 推进瓣重建上唇朱砂痣缺损:病例报告。
上唇是面部重要的功能和美观区域。因此,重建上唇缺损需要充分考虑,以确保功能和美观的恢复。楔形切除、旋转皮瓣、推进皮瓣和肌粘膜推进皮瓣等几种方法已被用于重建朱唇缺损。然而,重建朱唇缺损具有挑战性,因为重建后可能会残留不对称或疤痕,并限制嘴唇的正常活动。我们介绍了一例 51 岁女性的病例,她的上唇朱砂缺损是由狗咬伤引起的。唇部缺损采用粘膜 V-Y 推进瓣重建。该粘膜瓣以口轮匝肌为基础,唇上动脉为分支,以确保充足的血液供应。因此,皮瓣的存活率很高,而且皮瓣没有收缩。此外,皮瓣的颜色和轮廓与邻近的唇部组织相匹配,并重建了白卷和足够的唇部容积。这种粘膜 V-Y 推进皮瓣技术是修复粘膜缺损的一种可靠方法,且不会损害皮瓣的血管。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
0
期刊介绍: Journal of the Korean Association of Oral and Maxillofacial Surgeons (J Korean Assoc Oral Maxillofac Surg) is the official journal of the Korean Association of Oral and Maxillofacial Surgeons. This bimonthly journal offers high-quality original articles, case series study, case reports, collective or current reviews, technical notes, brief communications or correspondences, and others related to regenerative medicine, dentoalveolar surgery, dental implant surgery, head and neck cancer, aesthetic facial surgery/orthognathic surgery, facial injuries, temporomandibular joint disorders, orofacial disease, and oral pathology. J Korean Assoc Oral Maxillofac Surg is of interest to oral and maxillofacial surgeons and dental practitioners as well as others who are interested in these fields.
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